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6005 Airline Dr Metairie LA 70003-4330 | |
(888) 242-1608 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Community Health |
Location | 6005 Airline Dr, Metairie, Louisiana |
Authorized Official Name and Position | Mahrufa Islam (DENTAL DIRECTOR) |
Authorized Official Contact | 8882421608 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 23623 New Orleans LA 70183-0623 Ph: (888) 242-1608 | 6005 Airline Dr Metairie LA 70003-4330 Ph: (888) 242-1608 |
NPI Number | 1265706295 |
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Provider Enumeration Date | 03/08/2012 |
Last Update Date | 11/13/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265706295 | NPI | - | NPPES |
2880349 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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